When the Black Death hit the world in the 14th Century it was incredibly deadly. In some regions the death toll exceeded 50% of the population. It literally changed the history of Europe. What made it so deadly was the profound ignorance of the population, and governments, about what caused and spread it. Modern medicine generally fares much better, but the Spanish flu epidemic of 1918 was still one of the deadliest in history, though the mortality rate was "only" about 10%.

The Coronavirus (COVID-19) has created a worldwide concern, affected the markets, and sown panic in certain areas. Yet, the mortality rate is much lower (so far) than the annual flu, which clocks in at around 14 per 100,000. Why the panic?

There seem to be two reasons: it is unique, and it is unknown. Unique, because, while the virus is known (even common), this strain is behaving differently. Similarly, the Spanish flu virus was believed to have been a strain of the H1N1 virus, but was particularly deadly. (Swine flu was another H1N1 strain.) Unknown, because its spread and mechanisms of infection and morbidity are not fully understood. Nor, is there yet a "cure". The unknown is scary.

The question is: is this outbreak more like the annual flu, or more like the Spanish flu? Until we know that answer, the concern seems warranted.


A well reasoned argument is like a diamond: impervious to corruption and crystal clear - and infinitely rarer.

Here, as elsewhere, people are outraged at what feels like a rigged game -- an economy that won't respond, a democracy that won't listen, and a financial sector that holds all the cards. - Robert Reich